“OUR VISION FOR UNIVERSITY OF IOWA HEALTH CARE” Presented by: Dr. Jean Robillard Dean, Carver College of Medicine Donna Katen-Bahensky Director and CEO University of Iowa Hospitals and Clinics UNIVERSITY OF IOWA HEALTH CARE

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 WHAT IS THE VISION FOR THE UI HOSPITALS AND CLINICS? National, Regional and Statewide Prominence Market Leader in Areas of Strength Set the Standards for Quality Care and Outcomes Extraordinary and Unexpected Levels of Service Excellence "Privilege" to Work Here Operational "Best Practices" Become Commonplace

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 CRITICAL COMPONENTS OF OUR VISION VISION Best People Financial Strength Patient/ Market Focus Efficient Internal Processes BEST PEOPLE FINANCIAL STRENGTH PATIENT/ MARKET FOCUS EFFICIENT INTERNAL PROCESSES

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 CRITICAL GOALS TO ACHEIVE OUR VISION BEST PEOPLE FINANCIAL STRENGTH PATIENT/ MARKET FOCUS EFFICIENT INTERNAL PROCESSES The "Right People In the Right Job" Patient Centered Staff "Hard to Get in, Easy to Get Out” Accountability Results Driven VISION BEST PEOPLE Financial Strength Patient/ Market Focus Efficient Internal Processes

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 CRITICAL GOALS TO ACHEIVE OUR VISION BEST PEOPLE FINANCIAL STRENGTH PATIENT/ MARKET FOCUS EFFICIENT INTERNAL PROCESSES The "Right People In the Right Job" Patient Centered Staff "Hard to Get in, Easy to Get Out” Accountability Results Driven Reduced Costs "Right Resources for the Right Patients" Enhanced Reimbursement Focus on ROI Maintenance of High Bond Rating VISION Best People FINANCIAL STRENGTH Patient/ Market Focus Efficient Internal Processes

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 CRITICAL GOALS TO ACHEIVE OUR VISION BEST PEOPLE FINANCIAL STRENGTH PATIENT/ MARKET FOCUS EFFICIENT INTERNAL PROCESSES The "Right People In the Right Job" Patient Centered Staff "Hard to Get in, Easy to Get Out” Accountability Results Driven Reduced Costs "Right Resources for the Right Patients" Enhanced Reimbursement Focus on ROI Maintenance of High Bond Rating Impeccable Service Quality Outcomes Enhanced and Selective Marketing Supportive Citizens in Iowa Community Relations VISION Best People Financial Strength PATIENT/ MARKET FOCUS Efficient Internal Processes

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 CRITICAL GOALS TO ACHEIVE OUR VISION BEST PEOPLE FINANCIAL STRENGTH PATIENT/ MARKET FOCUS EFFICIENT INTERNAL PROCESSES The "Right People In the Right Job" Patient Centered Staff "Hard to Get in, Easy to Get Out” Accountability Results Driven Reduced Costs "Right Resources for the Right Patients" Enhanced Reimbursement Focus on ROI Maintenance of High Bond Rating Impeccable Service Quality Outcomes Enhanced and Selective Marketing Supportive Citizens in Iowa Community Relations Increased Throughput Clinical Protocols Information Technology Investments Redesigned Systems Achieving Operational Benchmarks VISION Best People Financial Strength Patient/ Market Focus EFFICIENT INTERNAL PROCESSES

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 HOW WILL WE REALIZE OUR VISION? BEST PEOPLE OBJECTIVESPROGRESS TO DATE Structure New Senior/Middle Management Structure Greater Physician Presence at Senior Level Accountability/Results New Senior Level Team Results Interdisciplinary Patient Care Program Right Attitude Development Developing 360 Degree Tool for Management Succession Planning Developing List of "High Potential" Individuals Work Environment Magnet Designation Team Recognition Revamping recognition activities VISION BEST PEOPLE Financial Strength Patient/ Market Focus Efficient Internal Processes

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 HOW WILL WE REALIZE OUR VISION? FINANCIAL STRENGTH OBJECTIVESPROGRESS TO DATE Supplies UHC Supply Optimization Program OR Business Manager Purchasing Standards Accountability for Financial Results Working Across Departments Continuum of Care Department Increased Productivity UHC 25th Percentile set for '04 Budget Appropriate Use of Beds Bed Management Task Force Report Bed Control/Transfer Office Revenue Cycle Denial Reports/Review from IDX VISION Best People FINANCIAL STRENGTH Patient/ Market Focus Efficient Internal Processes

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 HOW WILL WE REALIZE OUR VISION? PATIENT/MARKET FOCUS OBJECTIVESPROGRESS TO DATE High Priority Services Interdisciplinary Patient Care Program Marketing New Contract for Advertising Citizens in Iowa CEO Visits to Iowa Communities Dean/CEO Visits to Editorial Boards Quality Outcomes Service Recovery Next Level of Service Leadership Hiring for Right Attitude Communication First Staff Open Forums VISION Best People Financial Strength PATIENT/ MARKET FOCUS Efficient Internal Processes

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 HOW WILL WE REALIZE OUR VISION? EFFICIENT INTERNAL PROCESSES OBJECTIVESPROGRESS TO DATE Information Technology Strategic Plan for IS Bed Management Software Enhanced Throughput Appropriate LOS Navigator Program Transfer Agreements Access to Rehabilitation Beds Staff Recruitment Right Beds/ Staff/Patients Bed Management Task Force Report ICU Expansion Plan PI Priorities Training of "Green Belts" VISION Best People Financial Strength Patient/ Market Focus EFFICIENT INTERNAL PROCESSES

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 Take Immediate Action Get its Own House in Order Regain Financial Stability Work Together to Achieve Our Vision WE ARE IN THIS TOGETHER! VISION Best People Financial Strength Patient/ Market Focus Efficient Internal Processes The Carver College of Medicine and the University of Iowa Hospitals and Clinics are critical to the University of Iowa Both must commit to:

Carver College of Medicine University of Iowa Hospitals and Clinics PRES02343/03 WE ARE IN THIS TOGETHER! VISION Best People Financial Strength Patient/ Market Focus Efficient Internal Processes SUCCESS WE WILL SUCCEED BECAUSE OF OUR OUTSTANDING FACULTY & STAFF